Whalio Doctors

NPI 1386897650

Friends for Life, LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Syracuse, UT

Practice location

Address
2228 S 2325 W, Syracuse, UT 84075-9282
Phone
(801) 710-0210

Authorised official

Name
Randy Shupe
Title
Owner/Manager
Phone
(801) 710-0210

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X

Registry record

NPI
1386897650
Entity type
Organization
NPI issued
29 Oct 2008
Record last updated
29 Oct 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.